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Individual

ROBERT JAMES HENRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
214 E ELM AVE, STE 111, MONROE, MI 48162-2678
(734) 241-4080
(734) 241-4798
Mailing address
PO BOX 2085, 214 E ELM AVE STE 111, MONROE, MI 48161-7085
(734) 241-4080
(734) 241-4798

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000159
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2867
HEALTH PLAN OF MI
MI
05
3328905
MI
01
4500070
UNITED HEALTHCARE
01
540E802730
BCBS
MI
01
5898083
AETNA
01
640E826020
BCBS
MI
01
9350768
PHCS
01
RH989087
FEP
MI
Enumeration date
09/07/2006
Last updated
01/07/2009
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